Irin wadannan cututtuka na iya haifar da rashin lafiya
Yayin da kake da ciwo mai jiji ko IBS, ƙwayoyin cututtukanka zasu iya tafiyar da gamuwa daga cututtukan zuwa ƙutawa, kuma mai yiwuwa sun hada da bloating, gas da zafi na ciki.
Idan kun saba da bayyanar cututtukan cututtukan Celiac da kuma alamar alamun rashin lafiyar celiac, wannan lissafin zai iya lura da gaske ... don haka ba abin mamaki ba ne cewa yana da wuyar fadawa yanayin uku.
A gaskiya ma, bincike da yawa sun nuna cewa yawancin cututtukan cututtuka da ke fama da rashin jijiyar zuciya sune ainihin cututtukan celiac a rarraba. Bugu da ƙari, wasu mutane da aka gaya musu suna da IBS suna samun taimako lokacin da suke kawar da hatsi daga abincin su, ko da yake sun gwada gwajin cutar ga celiac.
To, mece ce: cututtukan Celiac, ƙwaƙwalwar ƙwayar cuta, ko IBS?
Celiac cututtuka yana cutar da ƙananan ƙwayar cuta, IBS yana shafar kango
Anyi tunanin cutar rashin jiji na rashin jin dadin jiki har zuwa 15% na yawan jama'a. Mutanen da ke tare da IBS na iya samun ciwon gaggawa, maƙarƙashiya, ko haɗuwa da duka biyu, baya ga sauran alamomin gastrointestinal, kamar gas da bloating.
IBS yafi kunshe da babban hanji, wanda aka sani da ku. Yayinda abincin ke wucewa, din din din din ya zama "mummunan" (saboda haka sunan yanayin) da kuma aiki. Babu wani dalilin da aka sani game da IBS kuma babu magani, ko da yake za ka iya bi da shi tare da takardar sayan magani ko magunguna, tare da salon canji.
Kodayake zai iya haifar da cututtuka marasa kyau da kuma wani lokacin bayyanar cututtuka, rashin ciwon ƙwayar jijiyar zuciya ba zai haifar da lalacewar jikinka na hanji ba. An san shi a matsayin "rashin aiki," wanda tsarinka na narkewa yana aiki da talauci amma ba a lalace ba.
Ba kamar Celiac cuta ba, Babu Tambaya ga IBS
Doctors ba su gwada don IBS; A maimakon haka, sun yi sararin samuwa daga wasu nau'i na farko kuma sai suyi la'akari da yadda bayyanar IBS dinku ta dace da ka'idodin yanayin.
Kuma wannan shi ne inda masanan suka iya shiga. Idan likitanku bai kasance kwanan wata ba a kan sabon bincike na cututtukan celiac - misali, idan ta kuskure ya yi imanin cewa mutane da cutar celiac ba za su iya zama nauyi ba ko kuma suna da maƙarƙashiya a matsayin ainihin alamar ƙwayar cuta. - to, yana yiwuwa ba za ta yi la'akari da umarni na gwajin cutar celiac ba kafin ka bincikar ka tare da IBS.
Abin takaici, wannan matsala ce ta kowa. Masu bincike waɗanda suka gwada marasa lafiya na IBS don cutar Celiac sun samu tsakanin 4% da 10% na marasa lafiya na IBS suna da celiac, ma'ana abinci mai cin abinci maras yisti ya taimaka wajen inganta ko kawar da alamun su na IBS.
Gluten ko Sanyatsiya na Wheat Za a iya yin wasa a cikin IBS
Haka kuma akwai yiwuwar wasu marasa lafiya na IBS waɗanda aka gwada su don cutar Celiac kuma sun zo da mummunar ƙwayar cuta na iya amfani da abinci marar amfani . Nazarin sun gano cewa wasu mutane tare da IBS, amma ba tare da cututtukan Celiac ba, suna fama da rashin lafiyar celiac kuma sun ga yadda bayyanar cutar ta IBS ta inganta ko ta share lokacin da suke cin abinci maras amfani.
A cikin binciken daya, masu bincike sun dauki marasa lafiya 34 na IBS wadanda alamun IBS ke sarrafawa a kan abinci marar yalwar abinci kuma sun sanya 19 daga cikinsu su ci gurasar (burodi biyu da muffin) kowace rana don makonni shida.
Sauran 15 sun ci gurasa da muffins wadanda basu da abinci. Bayan mako daya, marasa lafiya na IBS da ke cin abinci masu yawan abinci sun nuna cewa mafi yawan ciwo, damuwa, gajiya, rashin ƙarfi, da kuma zawo fiye da rukunin kulawa, yana nuna cewa alamun da ke cikin wannan rukuni na masu ciwon IBS sun jawo akalla a cikin wani ɓangare na alkama.
Wani binciken kuma ya gudanar da gwaje-gwajen kwayoyin cutar Celiac da kuma gwajin jini na musamman a kan mutanen da ke da IBS wanda tushen farko shine cututtuka sannan kuma sunyi biyan abinci marar yisti na watanni shida. Kusan kashi 60 cikin dari na marasa lafiyar IBS wadanda suka kasance masu kyau ga kwayar cuta na Celiac da kuma gwajin jini, da kashi 12 cikin dari na wadanda basu dauke da kwayar cutar ba, kuma sun sami sakamako mara kyau akan gwajin jini, sun sami ingantattun cututtukan IBS. ko kuma gaba ɗaya akan abinci mai cin abinci maras amfani.
Zai yiwu Matsala ta kasance wani abu a Alkama?
Yana yiwuwa. Bincike ya nuna cewa kimanin kashi uku na mutanen da aka gano tare da IBS suna ganin taimako daga alamun su akan abin da ake kira rageccen FODMAP. Wannan abincin yana mayar da hankali ne game da kawar da abinci tare da wasu carbohydrates masu cike da ciki, saboda waɗannan abinci suna cike da ƙwayar zuciya, wanda zai iya haifar da farfadowa, ciwo da sauran nau'o'in IBS-type.
A yanzu, alkama da sha'ir da hatsin rai suna dauke da irin FODMAP da ake kira fructans. Alkama, musamman ma, ana haramta shi a kan rage cin abinci na low-FODMAP, kodayake wasu masana kan cin abincin sun ce za ku ci shi a kananan ƙananan.
Wataƙila wasu daga cikin wadanda suka yi imani da cewa suna da karfin gaske suna amsawa ga FODMAPs a cikin abincinsu - binciken da aka yi a kwanan nan ya isa wannan ƙaddamar. Duk da haka, wasu nazarin sun nuna cewa wasu mutanen da suka gaskanta cewa suna da damuwa da gaske suna amsawa ga mai tsabta. Kuma, akwai hasashe cewa sauran alkama da sauran hatsi na hatsi zai iya taka rawar a cikin cutar celiac da kuma kulawa da gugu.
Akwai wasu bincike da za a yi kafin mu sami amsoshin waɗannan tambayoyin.
Samun Gwajin Celiac ko Gwada Gudun Gizon-Free
Idan an gano ku tare da rashin ciwo mai jiji amma ba a gwada su ba saboda cutar celiac, ya kamata kuyi magana da likitanku game da yin umurni da gwajin jini na celiac .
Idan an jarraba ku amma ya zo ne don mummunar ladabi ga celiac, kuna iya la'akari da gwaji na cin abinci maras amfani. A halin yanzu, babu gwaje-gwaje na likita don gano asali da hankali, don haka kawai hanyar da za a tantance idan kana da shi shine ka cire gluten daga abincinka kuma ka ga idan bayyanar cututtuka ta share.
Hakanan zaka iya gwada abincin rageccen FODMAP don ganin idan wannan zai taimaka maka bayyanar cututtuka. Yawancin girke-girke-FODMAP kuma basu da kyauta, saboda haka yana da kyakkyawar sauƙin bi duka biyun lokaci ɗaya.
Hakika, yana yiwuwa a samu duka cutar ta IBS da cutar celiac, kuma mutane da yawa da cutar celiac suna samun samun matsaloli masu rikitarwa. A yawancin lokuta (amma ba duka ba), zaka iya gano wadannan matsaloli masu narkewa don gurɓin giciye. Amma idan har kun ci gaba da samun matsalolin ko da bayan kawar da duk abincinku mai ɓoye daga abincinku, kuna iya magana da likitanku game da hanyoyin mafi kyau don sarrafa IBS.
Sources:
Biesiekierski J. et al. Gluten yana haifar da bayyanar cututtuka a cikin batutuwa ba tare da cututtukan celiac: gwajin gwaji mai saurin kai tsaye ba. Jaridar American Journal of Gastroenterology. 2011 Mar; 106 (3): 508-14.
Biesiekierski J et al. Babu sakamakon maye gurbin marasa lafiya tare da wadanda suka ruwaito ba tare da sunada hankali ba bayan rage cin abinci na gurasa, ƙwayoyi masu ƙarancin ƙwayoyin carbohydrates. Gastroenterology . 2013 Aug; 145 (2): 320-8.e1-3.
Biesiekierski J et al. Nuna-celiac gwargwadon hanzari: zartar da ƙwaƙwalwa tare. Ƙungiyar Gastroenterology na Ƙasar Turai . 2015 Afrilu 3 (2): 160-5.
Elli L et al. Shaida don nuna rashin lafiya ga Celiac Gluten a cikin marasa lafiya tare da cututtukan cututtuka na Gastrointestinal aiki: Sakamakon sakamako mai mahimmanci Tsarin Gudanar da Ƙungiyar Gluten mai sauƙi-biyu. Kayan shafawa . 2016 Feb 8; 8 (2). Koma: E84.
Hyundai Santa et al. Yin gwajin gwajin gwaje-gwaje don cutar Celiac a cikin Mutum tare da ƙwayoyin cututtukan da ke da alamun rashin jinin ƙwaƙwalwar ƙwayar jiji: Bincike na ainihi da Meta-bincike. Tsaro na Magungunan Hoto. Afrilu 13, 2009, Vol. 169 A'a. 7.
Wahnschaffe U. et al. Celiac cuta-kamar abnormalities a cikin wani rukuni na marasa lafiya tare da ciwon zuciya ciwo. Gastroenterology. 2001 Dec; 121 (6): 1329-38.
Wahnschaffe U. et al. Masanan abubuwan da suka shafi magungunan asibiti a cikin marasa lafiya ba tare da yalwaci ba a marasa lafiya da aka gano tare da cututtukan cututtuka. Clinical Gastroenterology da Hepatology. 2007 Yuli; 5 (7): 844-50.